Charles S Skoglund, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

4961 Issued in NE

Practice address

513 S 13TH St
Norfolk, NE 68701-4966

Phone

(402) 379-2775

Fax

(402) 379-0120

NPI assigned

Dec 5, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NE

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Family First Dental Associates of Nebraska, P.C.

  • General Practice Dentistry
  • Norfolk, NE
  • NPI 1922274687
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1821156605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "513 S 13TH ST",
            "city": "NORFOLK",
            "state": "NE",
            "postal_code": "687014966",
            "telephone_number": "402-379-2775",
            "fax_number": "402-379-0120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "513 S 13TH ST",
            "city": "NORFOLK",
            "state": "NE",
            "postal_code": "687014966",
            "telephone_number": "402-379-2775",
            "fax_number": "402-379-0120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKOGLUND",
        "first_name": "CHARLES",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NE",
            "license": "4961",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charles Alan Sintek, D.D.S
• Bonnie Sipma
• Spenser Sittre
• Losika Sivaganeshan, MD
• Heather Skarin
• SL Norfolk, LLC
• Katelyn Slattery
• Kristen Slizoski
• Ronda Slocum
• McKenna Slonecker

• General Practice Dentistry in Norfolk, NE
• Providers in Norfolk, NE by specialty
• General Practice Dentistry in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.